HomeMy WebLinkAbout30139916 - Permit (2)Proiect Address: 3928 S Flower St
Assessor'sParcel: 410-291-02 Lot: NA
Unit: C
Block: NA
Bldg:
Tract: NA
Suite Range:
Zoning: R4
q
city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Plumbing
PermitCounter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Owneri
Address:
Contractor:
Address:
Prime & South coast L P
50 California St 920
San Francisco, CA 941114606
Western Plumbing Services
1810 N. Linwood Ave.
Santa Ana, cA 92705
(714) 492-5490
FeE Typo
01116002 51602 Clothes Washer
011 16002 5160C General Plan Update
01116002 5'160i lssuance
Amount
13.97
22.O8
55.04
Fee
$13.97
$22.08
$55.04
Eotcht:15634 - 812?/2nt8 ID: (:CUELLA
officE: CTYH Trons+! 59 4 ol iAcct;! Refi: 3[139916
Rcpfi30236319t - 8/29 /?Ol8 3t2l Pt1
Tronsoct ion Totol IL t2iL.4i
Qty
1.00
1.00
1.00Phone
Tenant Name:
Phone
Slate Lic #: 1021101
Lic Type: C-36
Bus. Lic #: 364095
Workers' Compensation lnsurance:
Carrier: Stale Farm Fire and Casualty Company
Policy #: 90C6X6879
Expires: 0812412019
llestern PIurb ins gerv ices
G€nerol Plor llpdste Fee
01116002- 5r600000-
PIu.b i ns
0ll16002- 51602000-
lloster Cord
CCi:rr*rrrri**i*3753
tl t29L .4i
Autht:1719{7
Building Use:
Job Type:
Nature of Work
Condominium
Alteration
Washer/Dryer
Occupancy:
Constr Type:
Code:
R-2
VB
cPc 2016
Notesl
Planning conditions:
Planning Approval By
Plan Checked 8y:
Permit lssued By:
Subject to Field:
Building Permit #:
Every pe.mit issued shall become invalid unless the work on the site
authoized by such permit is commenced wilhin 1 80 days after its
issuance, ot it the wo* aulhoized on the aite by such pernit is suspended
or obandoned fot a period of 1 80 days after the time the wo* is
commenced.
MID#: 2018-145753
\$ u"rnano"., xrtt y
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
01116002 5'1600
01 1 16002 51602
Fee Total
Paid lo Date:
Balance Due:
$22.08
$69.01
$91.09
$0.00
$91 .09
Permit #: 3O139916
Pin #: 24792
AddressRange: 3800-3928
Historic: No
08,29/2018
Account#
lnspector
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcEby artrn uds pcnalry of Frjury thsr I m .x.npr lfrn $c Crd@ron Lk nc tiw for tlE follo*ing r@sn (5...7011.5
Busin$s n.d PDfc*ion Codc)r Any Cny or Co! l *tich rcquircs o lEmil lo snstdcl. !lid. iqrrcvc. demlGh or EIr€n rny
slrlctuc, Fio. r. irs bsumc. 3ls rcquiE. rh. .rplicdt tor such ttmil lo 6L a sigmd ndcm $at L or slE i lk.n*d pwad
to thc povilirm ol rlE Conh.rois Lien*d Lav (Cnlprcr 9. C.amrcilg wirh Seiion ,000 of Divisio. I oa llE Businc$ lod
PDfcssions Co&) or rhrt tE o, shc is ercnfl ths€frcm and th. bch for rhc atlc8cd crcmption. Aryviolerio.ofSccrionr03l.5bysy
.Plli$ for a !.rmil subj.rls ln lrpli.el loa.itilpcmltyofrot doEth.nfirc nundrcd dollus (5500).
-1,
&q owM oirhc ttuleny. or oy cnplo)es eirh *agcs s rhcir slc .o,pcnsrion, will do ttu wsl !d 0r stnrrm is mr
inlcidcd tr 6tLEd f6 elc (Sa.?044, Busimsi 6d Ptuf.sions Cod.: TIE ContBdor'i Lt.np Lle &rs nor Arly ro an ow*r of
rlE pioFny who h{ilds or intrcB th.mr &d wh. &{.Eh s* hin..lf o. h.Elto. $Dugh his @ he. own.nphres.
povtcd lhat such inl,mrcmnls m mt i.l.n&d oroEcE<l for sl.. If. howr. the h.ildins or inplMm is sh withr onc Frofonphhn. dE OwM BuiLL. will htr 0r hnrhn oflDving tlur lf, or slE dA ml bild m iqmw rtf, FrtEiy rtr dE pl.FE ol
_1. $ ownc. ol rh. tmp.ny, d .xclusirl, .oorEdins sitt liensd contmroN ro mnstrucr tlE l,Dtct (Sc. 7144- 8utircs
lnd Pldisibn Codc Th€ Conrmktr's Licctrsc Lrw des ml epply ro an orn.r of p,opcny wlo boildr or iFphres rh...on.
lnd who onlEcIs for suchpmj.cls wi'h a Cooracbns) li*nscd phu ro rhe ConlBdo! s Liccns k*).
-l
m .r.ry,I und$ Sccrion- B, & P,C. fo. lhi\ rcason
l) rr
UAf,f,Ef,.tljQMPJNSAIION
DDS,T&TIION
I ficehy ofiirmund( p.nllry of lsjury orc o{ rhc followinB dLrlarslbns:
_l h& ed uill tuinr&in a C€rrifrcr. olcnnsnt ro Sclfi.@ fn eql6 @Doctrdioo. &i prcvkled for by Sclion 3700 of lhc
kbor Cod.. for lh. pcrfolrlrc of lh. wort for whbh rhc Dcmii is nsud.
_l hav. !d *ill mintlin porkcF com!,cns.rion insur.ke. f,s rcluircd by ser b, l70o oa rhc tibor C.dc, fo. rtu pdfomr ot
lhc work for whi.h thh F.nil is irsu.rl. M, workcB ompcnslion insurMcc caricr r.d polty Nmbcr tr.:
_l ccnili thll i. thc penormmc of rhc wort for which thh prmi a! issu.d, I shall nor cnploy do, pcson in any num,s e\ to bccotu subjel to lhe $ortol ohpcnelbn l,*s ofcalitom,a rd .3r di,l if I should b.{om subjat lo th.
vorkoc..hpcnstionpmtisionsofSalionl?00ofth.t$orGldc.lrh,ll.fonh*ilnomllyeithlhospovtions..
\4ARNING: Fiilurc !r Ecurc sorkc!( conrNn{i(rr .ovcrn unlaw6rl. and sh.ll suhj.rr 6 mplotcr ro sinin0l pcMtrax .nd
. il linci !p to om hundrc! llhusnd dollss (Sloodr). in
sccriol 10T6orrhc btor Codr. nrcrrr ond srlorrcy s f!r:
hn lo lnc osr of.onp.Mrior,
I hcEhy 0flnmund$ p.nallyorn rjury rhll I am liccnqi undcr ofCh4rrd 9(.onmncinp wnh Sdion 7000) olDirhion l
of rh. Bliincss aftl hofcsions Codc. and my liccnsc is h full rors orn.nccl
I h.Eby affrm wd$ Fnalry of pcrjury lhrl rhce h s onsrMr
hsucd (S€c.3097. Ci!. C.).
!8crcy for lhe pcraolmx. or lh. mrt for shth lht IEftn n
ATIIICANfDECLIIAIIO!
I hcftrhy lnim u.dr pcnslry or p.rjrry onc.lrh. aollowins dccl.rsln,ns
Dct{lirn'n Pcrmil}AslEslos Norifi.oliotr ljcdcr!l RcEuhlions (Tirl.ir0, Pd6)
-Rcquncrl
Lrrrcr oi Norificarion
l.cnitrrhll thc ttdcEl esulurions Esedins a{bc$os rcnrv0l dc mi.pplkabl ro this pmj.t.
_l ccnify rhd I havc rcad $is,pplicnrion ald { c ihor rhc ornvc infouio. ix corar. I os.s ro comply *nh 0ll Ciryand Colnr}
odin!rccs and Srrl. ti*s Ehline ro
sbov. mntioftd prorEdy fo. imDc.'
.oosrructk'n. rrd hcrcb,lurhorizc rqres ariv.s oarhis Cilyand Co!trryro entcr upo. rhc
Appli.ant or AEen( SiEn.lu
tml
f\l
Waste & Vent
Water-Under floor
Gas-Underfloor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Water Piping
Gas Pi ping
Roof Drain
Tub/Shower Test
Roqgh Water Heater
POOL/SPA
P-trap/Drain Line
lvlain Drain/Pool Pipino
Fill Line/Back Flow
Pool HeateriGas Line
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Eough Plumbing q flgn ^AA,\FAJFinal Gas Test U'
Meter Release
FINAL IP tbltt -l\t*-tr'te,,-rt
Notes Remarks Etc
t ndr'sAddic(r
P. llen.me(pnnr):
UNDER GROUND
Waste & Vent
Miscellaneous